Diastolic mitral regurgitation in a patient with complex native mitral and aortic valve endocarditis: A rare phenomenon with potential catastrophic consequences

Juan N. Pulido, James J. Lynch, William J. Mauermann, Hector I Michelena, Kent H. Rehfeldt

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Diastolic mitral valve regurgitation is a rare phenomenon described in patients with atrioventricular conduction abnormalities, severe left ventricular systolic or diastolic dysfunction with regional wall motion dyssynchrony, or severe acute aortic valve regurgitation. The presence of diastolic mitral valve regurgitation in acute aortic regurgitation due to endocarditis suggests critical severity requiring urgent surgical valve replacement. We describe a case of diastolic mitral regurgitation in the setting of complex native mitral-aortic valve endocarditis in a patient in normal sinus rhythm and review the etiologic mechanisms of this phenomenon, echocardiographic assessment, and therapeutic implications for hemodynamic management.

Original languageEnglish (US)
Pages (from-to)100-103
Number of pages4
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume20
Issue number1
DOIs
StatePublished - Mar 1 2016

Fingerprint

Mitral Valve Insufficiency
Endocarditis
Aortic Valve
Mitral Valve
Aortic Valve Insufficiency
Surgical Instruments
Hemodynamics
Therapeutics

Keywords

  • intraoperative assessment
  • intraoperative transesophageal echocardiography
  • mitral valve
  • monitoring
  • transesophageal echocardiography

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Diastolic mitral regurgitation in a patient with complex native mitral and aortic valve endocarditis : A rare phenomenon with potential catastrophic consequences. / Pulido, Juan N.; Lynch, James J.; Mauermann, William J.; Michelena, Hector I; Rehfeldt, Kent H.

In: Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 20, No. 1, 01.03.2016, p. 100-103.

Research output: Contribution to journalArticle

@article{6850516550574adb9a07bedbbc61ccfd,
title = "Diastolic mitral regurgitation in a patient with complex native mitral and aortic valve endocarditis: A rare phenomenon with potential catastrophic consequences",
abstract = "Diastolic mitral valve regurgitation is a rare phenomenon described in patients with atrioventricular conduction abnormalities, severe left ventricular systolic or diastolic dysfunction with regional wall motion dyssynchrony, or severe acute aortic valve regurgitation. The presence of diastolic mitral valve regurgitation in acute aortic regurgitation due to endocarditis suggests critical severity requiring urgent surgical valve replacement. We describe a case of diastolic mitral regurgitation in the setting of complex native mitral-aortic valve endocarditis in a patient in normal sinus rhythm and review the etiologic mechanisms of this phenomenon, echocardiographic assessment, and therapeutic implications for hemodynamic management.",
keywords = "intraoperative assessment, intraoperative transesophageal echocardiography, mitral valve, monitoring, transesophageal echocardiography",
author = "Pulido, {Juan N.} and Lynch, {James J.} and Mauermann, {William J.} and Michelena, {Hector I} and Rehfeldt, {Kent H.}",
year = "2016",
month = "3",
day = "1",
doi = "10.1177/1089253215570063",
language = "English (US)",
volume = "20",
pages = "100--103",
journal = "Seminars in Cardiothoracic and Vascular Anesthesia",
issn = "1089-2532",
publisher = "SAGE Publications Inc.",
number = "1",

}

TY - JOUR

T1 - Diastolic mitral regurgitation in a patient with complex native mitral and aortic valve endocarditis

T2 - A rare phenomenon with potential catastrophic consequences

AU - Pulido, Juan N.

AU - Lynch, James J.

AU - Mauermann, William J.

AU - Michelena, Hector I

AU - Rehfeldt, Kent H.

PY - 2016/3/1

Y1 - 2016/3/1

N2 - Diastolic mitral valve regurgitation is a rare phenomenon described in patients with atrioventricular conduction abnormalities, severe left ventricular systolic or diastolic dysfunction with regional wall motion dyssynchrony, or severe acute aortic valve regurgitation. The presence of diastolic mitral valve regurgitation in acute aortic regurgitation due to endocarditis suggests critical severity requiring urgent surgical valve replacement. We describe a case of diastolic mitral regurgitation in the setting of complex native mitral-aortic valve endocarditis in a patient in normal sinus rhythm and review the etiologic mechanisms of this phenomenon, echocardiographic assessment, and therapeutic implications for hemodynamic management.

AB - Diastolic mitral valve regurgitation is a rare phenomenon described in patients with atrioventricular conduction abnormalities, severe left ventricular systolic or diastolic dysfunction with regional wall motion dyssynchrony, or severe acute aortic valve regurgitation. The presence of diastolic mitral valve regurgitation in acute aortic regurgitation due to endocarditis suggests critical severity requiring urgent surgical valve replacement. We describe a case of diastolic mitral regurgitation in the setting of complex native mitral-aortic valve endocarditis in a patient in normal sinus rhythm and review the etiologic mechanisms of this phenomenon, echocardiographic assessment, and therapeutic implications for hemodynamic management.

KW - intraoperative assessment

KW - intraoperative transesophageal echocardiography

KW - mitral valve

KW - monitoring

KW - transesophageal echocardiography

UR - http://www.scopus.com/inward/record.url?scp=84958191014&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84958191014&partnerID=8YFLogxK

U2 - 10.1177/1089253215570063

DO - 10.1177/1089253215570063

M3 - Article

C2 - 25648613

AN - SCOPUS:84958191014

VL - 20

SP - 100

EP - 103

JO - Seminars in Cardiothoracic and Vascular Anesthesia

JF - Seminars in Cardiothoracic and Vascular Anesthesia

SN - 1089-2532

IS - 1

ER -